ABCD2 Quiz
Email address *
Name: *
Your answer
In Sleep SMART, ABCD^2 is only scored for patients with TIA (<24 hours of symptoms and no infarction).
Case 1: A 47 year-old hypertensive, insulin-treated diabetic woman experienced the abrupt onset of left-sided weakness and numbness that lasted 2 hours before resolving completely. When seen in the Emergency Department her initial BP was 150/80 mm Hg, neurological examination was normal except for diminished ankle jerks and sensation in her feet, CBC was normal, blood sugar was 90 mg/dl and serum creatinine was 1.5 mg/dl. CT scan of the brain was normal. *
Case 2: A 66 year-old woman with a history of hypertension and coronary artery disease presented after an episode of right arm weakness and difficulty speaking that occurred 2 days ago. She had had 3 similar episodes over the previous 2 weeks, which all resolved fairly quickly. She had improved substantially from this episode, but is not sure whether her arm is completely back to normal. Her exam reveals mild word-finding difficulty and right arm pronator drift. Her head CT scan was normal, and screening lab values were unremarkable. Her presenting BP was 145/90 mm Hg. *
Case 3: A 51 year-old male smoker and moderate alcohol consumer experienced the abrupt onset of right-sided numbness that lasted 15 minutes before resolving. When seen in the Emergency Department his initial BP was 150/80 mm Hg, neurological examination was normal, CBC was normal, blood sugar was 90 mg/dl and serum creatinine was 1.0 mg/dl. CT scan of the brain was normal. *
Case 4: A 50 year-old woman with a 10-year history of diabetes, treated with metformin, presented to the ED after a transient 25-minute spell involving right-sided weakness and slurred speech. Her blood pressure on presentation was 144/78 mm Hg. Blood glucose was 140 mg/dl, creatinine was 1.6 mg/dl, and other screening lab values were normal. An MRI showed an acute infarction in the left internal capsule. *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of University of Michigan. Report Abuse